I was prescribed a Zpack for pneumonia. I threw up within minutes of the first dose Then I mixed up the order.. Vomiting after taking a dose of medication can be extremely concerning, and it can be challenging to know whether or not it was adequately absorbed or not.
The natural question is whether or not you should retake your last dose of medication and unfortunately, the answer isn't always clear for the vast majority of drugs. It goes without saying if you vomit immediately after taking a dose or you see an intact medication such as a tablet in your vomit known as vomitus , it would be a good idea to re-dose as you clearly haven't absorbed the medication.
When it gets to be more than a few minutes after taking a dose that you vomit, it is important to evaluate the risk of treatment failure from a dose that is not properly absorbed due to vomiting versus the risk of side effects. For example, it may make more sense to consider re-dosing an anti-infective medication like Zithromax or emergency contraceptive pill over a longer time-frame versus a maintenance medication like one for cholesterol.
On the other hand, it may be extremely risky to re-dose certain medications with potentially severe adverse effects, like strong opioids oxycodone. Fortunately for Zithromax azithromycin , the prescribing information for the drug gives specific directions in a case where you throw up soon after taking a dose.
In fact, since Zithromax comes in various dosage forms e. So, although there isn't a specific recommendation regarding whether or not to re-dose if you vomit after taking the extended-release Zithromax , it does give guidance:. There is slightly less guidance available when it comes to these immediate-release versions of Zithromax.
Azithromycin may cause other side effects. Call your doctor if you have any unusual problems while taking this medication. Keep this medication in the container it came in, tightly closed, and out of reach of children. Store azithromycin tablets, suspension, and extended-release suspension at room temperature and away from excess heat and moisture not in the bathroom. Do not refrigerate or freeze the extended-release suspension. Discard any azithromycin suspension that is left over after 10 days or no longer needed.
Discard any unused extended-release azithromycin suspension after dosing is complete or 12 hours after preparation. Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program.
It is important to keep all medication out of sight and reach of children as many containers such as weekly pill minders and those for eye drops, creams, patches, and inhalers are not child-resistant and young children can open them easily.
To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location — one that is up and away and out of their sight and reach. In case of overdose, call the poison control helpline at If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at Keep all appointments with your doctor and the laboratory.
Your doctor may order certain lab tests to check your body's response to azithromycin. Do not let anyone else take your medication. Your prescription is probably not refillable. If you still have symptoms of infection after you finish the azithromycin, call your doctor. It is important for you to keep a written list of all of the prescription and nonprescription over-the-counter medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements.
You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies. Azithromycin pronounced as az ith roe mye' sin. Why is this medication prescribed? How should this medicine be used? Other uses for this medicine What special precautions should I follow? What special dietary instructions should I follow? What should I do if I forget a dose? What side effects can this medication cause?
You or your child must take this medicine within 12 hours after it has been mixed with water. If your child does not use all of the medicine in the bottle, throw it away after you give the dose.
Keep using this medicine for the full treatment time, even if you or your child feel better after the first few doses. Your infection may not clear up if you stop using the medicine too soon. These medicines may keep azithromycin from working properly. The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label.
The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. If you miss a dose of this medicine, take it as soon as possible.
However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. After water has been added to the powder, use the dose within 12 hours and throw away any unused liquid after your dose. Do not freeze the bottle. Do not keep the oral liquid for more than 10 days.
Throw away any unused liquid after all doses are completed. It is very important that your doctor check the progress of you or your child at regular visits to make sure this medicine is working properly.
Blood and urine tests may be needed to check for unwanted effects. If you or your child's symptoms do not improve within a few days, or if they become worse, check with your doctor. This medicine may cause serious allergic reactions, including anaphylaxis, which can be life-threatening and require immediate medical attention. Call your doctor right away if you or your child have a rash, itching, hives, hoarseness, trouble breathing, trouble swallowing, or any swelling of your hands, face, or mouth after you take this medicine.
Serious skin reactions can occur with this medicine. Check with your doctor right away if you or your child have blistering, peeling, or loosening of the skin, red skin lesions, severe acne or skin rash, sores or ulcers on the skin, or fever or chills while you are using this medicine.
Check with your doctor right away if you or your child have pain or tenderness in the upper stomach, pale stools, dark urine, loss of appetite, nausea, unusual tiredness or weakness, or yellow eyes or skin. These could be symptoms of a serious liver problem. Call your child's doctor right away if your child feels irritable or vomits after feeding.
These may be symptoms of a condition called infantile hypertrophic pyloric stenosis. Azithromycin may cause diarrhea, and in some cases it can be severe. It may occur 2 months or more after you stop using this medicine. Do not take any medicine to treat diarrhea without first checking with your doctor.
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